MEDICARE: JOHANN L. TOWNE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2065	OR

General Provider Information

NPI Number	:	1366824450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHANN L. TOWNE

Provider Business Mailing Address
First Line	:	945 TOWN CENTRE DR STE C
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-6190
Country	:	US
Telephone Number	:	541-779-0235
Fax Number	:	541-816-4401

Provider Business Practice Location Address
First Line	:	945 TOWN CENTRE DR STE C
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97504-6190
Country	:	US
Telephone Number	:	541-779-0235
Fax Number	:	541-816-4401

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JOHANN L TOWNE
Credential	:	D.C.
Telephone Number	:	541-779-0235

Provider Enumeration Date	:	06/24/2015
Last Update Date	:	06/24/2015

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